Acts as the physician advisor for medical necessity appeals and for the Pennsylvania Medical assistance (PAMA) utilization reviews. Acts as a physician resource for the regulatory and revenue cycle ...
Acts as the physician advisor for medical necessity appeals and for the Pennsylvania Medical assistance (PAMA) utilization reviews. Acts as a physician resource for the regulatory and revenue cycle ...
Acts as the physician advisor for medical necessity appeals and for the Pennsylvania Medical assistance (PAMA) utilization reviews. Acts as a physician resource for the regulatory and revenue cycle ...
Acts as the physician advisor for medical necessity appeals and for the Pennsylvania Medical assistance (PAMA) utilization reviews. Acts as a physician resource for the regulatory and revenue cycle ...
2nd Shift Machinist - CNC/Manual
Minster, OH · On-site
$21.50 - $28.50/hr
Medical
Dental
Vision
Retirement
PTO
Set up and operate CNC Machines (Haas, Okuma, PAMA, etc.) * Interpret blueprints, technical drawings, and work instructions to ensure accurate production * Select appropriate tooling, fixtures, and ...
2nd Shift Machinist - CNC/Manual
Minster, OH · On-site
$21.50 - $28.50/hr
Medical
Dental
Vision
Retirement
PTO
Set up and operate CNC Machines (Haas, Okuma, PAMA, etc.) * Interpret blueprints, technical drawings, and work instructions to ensure accurate production * Select appropriate tooling, fixtures, and ...
CNC Machinist
Newport News, VA · On-site
$18.75 - $25.50/hr
Candidates should possess hands-on experience with large and medium CNC machine brands such as G&L/Thives, PAMA, Schiess, Mitsubishi, and Tacchi, and demonstrate strong setup, operation ...
CNC Machinist
Newport News, VA · On-site
$18.75 - $25.50/hr
Candidates should possess hands-on experience with large and medium CNC machine brands such as G&L/Thives, PAMA, Schiess, Mitsubishi, and Tacchi, and demonstrate strong setup, operation ...
2nd Shift Machinist - CNC/Manual
Minster, OH · On-site
$21.50 - $28.50/hr
Medical
Dental
Vision
Retirement
PTO
Set up and operate CNC Machines (Haas, Okuma, PAMA, etc.) * Interpret blueprints, technical drawings, and work instructions to ensure accurate production * Select appropriate tooling, fixtures, and ...
2nd Shift Machinist - CNC/Manual
Minster, OH · On-site
$21.50 - $28.50/hr
Medical
Dental
Vision
Retirement
PTO
Set up and operate CNC Machines (Haas, Okuma, PAMA, etc.) * Interpret blueprints, technical drawings, and work instructions to ensure accurate production * Select appropriate tooling, fixtures, and ...
2nd Shift Machinist - CNC/Manual
Minster, OH · On-site
$22 - $30.25/hr
Medical
Dental
Machinist Job Responsibilities Set up and operate CNC Machines (Haas, Okuma, PAMA, etc.) Interpret blueprints, technical drawings, and work instructions to ensure accurate productionSelect ...
Quick apply
2nd Shift Machinist - CNC/Manual
Minster, OH · On-site
$22 - $30.25/hr
Medical
Dental
Machinist Job Responsibilities Set up and operate CNC Machines (Haas, Okuma, PAMA, etc.) Interpret blueprints, technical drawings, and work instructions to ensure accurate productionSelect ...
Acts as the physician advisor for medical necessity appeals and for the Pennsylvania Medical assistance (PAMA) utilization reviews. Acts as a physician resource for the regulatory and revenue cycle ...
Acts as the physician advisor for medical necessity appeals and for the Pennsylvania Medical assistance (PAMA) utilization reviews. Acts as a physician resource for the regulatory and revenue cycle ...
CNC Machinist
Newport News, VA · On-site
$18.75 - $25.50/hr
Candidates should possess hands-on experience with large and medium CNC machine brands such as G&L/Thives, PAMA, Schiess, Mitsubishi, and Tacchi, and demonstrate strong setup, operation ...
CNC Machinist
Newport News, VA · On-site
$18.75 - $25.50/hr
Candidates should possess hands-on experience with large and medium CNC machine brands such as G&L/Thives, PAMA, Schiess, Mitsubishi, and Tacchi, and demonstrate strong setup, operation ...
PAMA CNC machines * Parpas CNC machines * Troubleshoot CNC controls, servo systems, spindle drives, motors, encoders, feedback systems, and associated automation equipment. * Read and interpret ...
PAMA CNC machines * Parpas CNC machines * Troubleshoot CNC controls, servo systems, spindle drives, motors, encoders, feedback systems, and associated automation equipment. * Read and interpret ...
CNC Machinist
$18.75 - $25.50/hr
Candidates should possess hands-on experience with large and medium CNC machine brands such as G&L/Thives, PAMA, Schiess, Mitsubishi, and Tacchi, and demonstrate strong setup, operation ...
CNC Machinist
$18.75 - $25.50/hr
Candidates should possess hands-on experience with large and medium CNC machine brands such as G&L/Thives, PAMA, Schiess, Mitsubishi, and Tacchi, and demonstrate strong setup, operation ...
Perform PAMA-related activities for assigned commodities. Provides input to management on associates' performance. Assists management in creating the annual budget and monitors expenditures to comply ...
Perform PAMA-related activities for assigned commodities. Provides input to management on associates' performance. Assists management in creating the annual budget and monitors expenditures to comply ...
Maintenance Technician
Houston, TX · On-site
PAMA CNC machines * Parpas CNC machines * Troubleshoot CNC controls, servo systems, spindle drives, motors, encoders, feedback systems, and associated automation equipment. * Read and interpret ...
Maintenance Technician
Houston, TX · On-site
PAMA CNC machines * Parpas CNC machines * Troubleshoot CNC controls, servo systems, spindle drives, motors, encoders, feedback systems, and associated automation equipment. * Read and interpret ...
Perform PAMA-related activities for assigned commodities. Provides input to management on associates' performance. Assists management in creating the annual budget and monitors expenditures to comply ...
Quick apply
Perform PAMA-related activities for assigned commodities. Provides input to management on associates' performance. Assists management in creating the annual budget and monitors expenditures to comply ...
PAMA CNC machines * Parpas CNC machines * Troubleshoot CNC controls, servo systems, spindle drives, motors, encoders, feedback systems, and associated automation equipment. * Read and interpret ...
PAMA CNC machines * Parpas CNC machines * Troubleshoot CNC controls, servo systems, spindle drives, motors, encoders, feedback systems, and associated automation equipment. * Read and interpret ...
Industrial Electrician
Waukesha, WI · On-site
$26.75 - $34.50/hr
Experience with Okuma, Makino, WFL and Pama equipment. * Fanuc and Siemens controls expertise. * Experience with older manual and automatic grinding equipment a plus.
New
Industrial Electrician
Waukesha, WI · On-site
$26.75 - $34.50/hr
Experience with Okuma, Makino, WFL and Pama equipment. * Fanuc and Siemens controls expertise. * Experience with older manual and automatic grinding equipment a plus.
New
Maintenance / Machine Repair Technician
Waukesha, WI · On-site
$21.75 - $28.75/hr
Experience with Pama equipment * Experience with Fanuc and Siemens controls * Experience with older manual and automatic grinding equipment a plus * Journeyman Machine Repairmen Card or 5 years ...
Maintenance / Machine Repair Technician
Waukesha, WI · On-site
$21.75 - $28.75/hr
Experience with Pama equipment * Experience with Fanuc and Siemens controls * Experience with older manual and automatic grinding equipment a plus * Journeyman Machine Repairmen Card or 5 years ...
Machine Repair Technician
Waukesha, WI · On-site
Experience with Pama equipment * Experience with Fanuc and Siemens controls * Experience with older manual and automatic grinding equipment a plus * Journeyman Machine Repairmen Card or 5 years ...
Machine Repair Technician
Waukesha, WI · On-site
Experience with Pama equipment * Experience with Fanuc and Siemens controls * Experience with older manual and automatic grinding equipment a plus * Journeyman Machine Repairmen Card or 5 years ...
Industrial Electrician
Waukesha, WI · On-site
$26.75 - $34.50/hr
Experience with Okuma, Makino, WFL and Pama equipment. * Fanuc and Siemens controls expertise. * Experience with older manual and automatic grinding equipment a plus.
New
Industrial Electrician
Waukesha, WI · On-site
$26.75 - $34.50/hr
Experience with Okuma, Makino, WFL and Pama equipment. * Fanuc and Siemens controls expertise. * Experience with older manual and automatic grinding equipment a plus.
New
Maintenance / Machine Repair Technician
Waukesha, WI · On-site
$21.75 - $28.75/hr
Experience with Pama equipment * Experience with Fanuc and Siemens controls * Experience with older manual and automatic grinding equipment a plus * Journeyman Machine Repairmen Card or 5 years ...
Maintenance / Machine Repair Technician
Waukesha, WI · On-site
$21.75 - $28.75/hr
Experience with Pama equipment * Experience with Fanuc and Siemens controls * Experience with older manual and automatic grinding equipment a plus * Journeyman Machine Repairmen Card or 5 years ...
Maintenance / Machine Repair Technician
Waukesha, WI · On-site
$21.75 - $28.75/hr
Experience with Pama equipment * Experience with Fanuc and Siemens controls * Experience with older manual and automatic grinding equipment a plus * Journeyman Machine Repairmen Card or 5 years ...
Maintenance / Machine Repair Technician
Waukesha, WI · On-site
$21.75 - $28.75/hr
Experience with Pama equipment * Experience with Fanuc and Siemens controls * Experience with older manual and automatic grinding equipment a plus * Journeyman Machine Repairmen Card or 5 years ...
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Full-time
Re-posted 10 days ago
Temple University Health System rating
8.1
Based on 76 frontline employees who took The Breakroom Quiz
69th of 888 rated healthcare providers
Job description
Provides clinical expertise and guidance to Clinical Analysis and appeals team. Acts as the physician advisor for medical necessity appeals and for the Pennsylvania Medical assistance (PAMA) utilization reviews. Acts as a physician resource for the regulatory and revenue cycle denial and appeals processes for hospital activity, including utilization review for all PAMA cases, all UM denials and appeals.
Education
Doctorate Degree Medicine or Osteopathic Medicine Required
Experience
General Experience and strong working knowledge of the Interqual Criteria Set and
hospital reimbursement systems Required
General Experience in a role dealing with Second and Third level appeals processes
including direct experience with being an expert witness Required
General Experience in a managed care environment Required
General Experience in an Administrative Leadership role Preferred
Licenses
PA Medical Physician License Required or
PA Osteopathic Physician Required
What Temple University Health System employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Temple Health
Sourced by ZipRecruiter
Temple Health is a major Philadelphia-based academic health system that is driving medical advances through clinical innovation, pioneering research and world-class education. The health system’s 1,550+ physicians and scientists share a common mission of bringing tomorrow’s treatments to the bedside today, helping them achieve outcomes once thought impossible.
Industry
Hospitals
Company size
5,001 - 10,000 Employees
Headquarters location
Philadelphia, PA, US
Year founded
1995